PCCN Exam prep practice Questions REVISED
AND UPDATED FOR 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
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Terms in this set (117)
1. A 49-year-old male was recently 1. D. I, aVI. The RCA perfuses the inferior wall and
admitted with an inferior wall the mirror image or reciprocal change will be seen
MI resulting from 100% occlusion of in the high latera wall, which is reflected in leads I,
the right coronary artery and aVL, on the 12-Lead ECG. Leads V1 and V2
(RCA). The 12-Lead ECG reveals ST correlate with the septal area, leads V3 and V4
elevation in leads II, Ill, and avF. correlate With the anterior area of the heart. The
You would expect to see reciprocal aVR lead does not provide much diagnostic value
changes in which leads? as all energy is depolarizing away from this lead.
A. I, aVR
B. V, V2
C. V, VA
D I, aVL
,You are summoned to the room of a A. Call for help and safely guide the patient to the
30-year-old female who is floor
experiencing sustained tonic-clonic Patient Safety is priority
convulsions while sitting in a chair. A
family member states: "She was just
talking to us and suddenly she let
out a shriek and started flopping like
a fish out of water." What is your
initial priority of care?
A. Call for help and safely guide the
patient to the floor
B. Call for help and administer a
prescribed antiepileptic
C. Call for help and administer a
prescribed benzodiazepine
D. Call for help and monitor the
course of the seizure
A 46-year-old patient presents with B. Acute Respiratory Distress Syndrome
pneumonia and sepsis.
He was treated with 4 days of
antibiotics and IV fluids. He is
increasingly short of breath and is
now on 100% FiO, via non-re-
breather mask. You obtain an ABG
with the following results: pH 7.20 /
PaCO, 68/ PaO, 102/ HCO, 28. A
chest x-ray reveals bilateral
pulmonary infiltrates. The patient is
likely developing:
A. Worsening pneumonia
B. Acute Respiratory Distress
Syndrome
C. Pulmonary embolus
D. Atelectasis
,A 56-year-old male is admitted to C. Rapidly lower the diastolic pressure to 100 mm
the PCU with a hypertensive crisis. Hg with IV antihypertensive medications, then
His blood pressure is now 205/125 continue to gradually reduce the diastolic pressure
mm Hg and he is complaining of a to 85 mm Hg with oral antihypertensive medication
headache with nausea. He reports
he ran out of blood pressure
medication three days ago, but also
appears to be confused to the date
and situation. What is the most
appropriate treatment approach?
A. Rapidly lower the systolic
pressure to 100 mm Hg with IV
antihypertensive medication, then
gradually reduce the diastolic
pressure to 85 mm Hg with oral
antihypertensive medications
B. Slowly lower the systolic pressure
to 120 mm Hg with IV
antihypertensive medications, then
switch to oral antihypertensive
medications for maintenance
C. Rapidly lower the diastolic
pressure to 100 mm Hg with IV
antihypertensive medications, then
continue to gradually reduce the
diastolic pressure to 85 mm Hg with
oral antihypertensive medications
D. Slowly lower the diastolic pressure
to 85 mm
, 5. Which of the following labs must D. Potassium
be closely monitored when Patients taking angiotensin converting enzyme
administering Lisinopril to a patient inhibitors may experience hyperkalemia. ACE
with systolic heart failure? inhibitors block angiotensin II, which may lead to
A. Sodium decreased aldosterone. Aldosterone is responsible
B. Phosphate forexcreting potassium from the kidneys. Therefore,
C. Magnesium ACE inhibitors can cause potassium retension and
D Potassium potassium levels should be monitored closely. In
addition, renal labs such as BUN and creatinine
should be monitored. If the patient develops more
than a 20% increase in the creatinine, the
medication should be discontinued.
A 57-year-old man was admitted A Dobutamine. Dobutamine is a positive inotropic
with an acute myocardial infarction medication used to improve myocardial
and is rapidly deteriorating. He has a dysfunction on patients with a low cardiac index
BP of 86/42 and elevated afterload. It will improve contractility
(57), heart rate of 110, weak, thready and reduce afterload. Milrinone, which is a
pulses, and mottled skin-especially phosphodiesterase inhibitor could also be used as
at the knees. He has had minimal an alternative to dobutamine, in the setting of
urine output the past 8 hours. A decompensated heart failure. It is used cautiously
Rapid Response is activated. Which in patients experiencing cardiogiogenic shock as
of the following medications would one of the main side effects of Milrinone is
be the best option to increase the hypotension. The half life of Milrinone is about 6
patient's cardiac output? hours. Norepinephrine and Phenylephrine cause
A Dobutamine vasoconstriction, which would increase the SVR
B Norepinephrine and may compromise cardiac output.
C Amiodarone
D Phenylephrine
AND UPDATED FOR 2026/2027 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Save
Terms in this set (117)
1. A 49-year-old male was recently 1. D. I, aVI. The RCA perfuses the inferior wall and
admitted with an inferior wall the mirror image or reciprocal change will be seen
MI resulting from 100% occlusion of in the high latera wall, which is reflected in leads I,
the right coronary artery and aVL, on the 12-Lead ECG. Leads V1 and V2
(RCA). The 12-Lead ECG reveals ST correlate with the septal area, leads V3 and V4
elevation in leads II, Ill, and avF. correlate With the anterior area of the heart. The
You would expect to see reciprocal aVR lead does not provide much diagnostic value
changes in which leads? as all energy is depolarizing away from this lead.
A. I, aVR
B. V, V2
C. V, VA
D I, aVL
,You are summoned to the room of a A. Call for help and safely guide the patient to the
30-year-old female who is floor
experiencing sustained tonic-clonic Patient Safety is priority
convulsions while sitting in a chair. A
family member states: "She was just
talking to us and suddenly she let
out a shriek and started flopping like
a fish out of water." What is your
initial priority of care?
A. Call for help and safely guide the
patient to the floor
B. Call for help and administer a
prescribed antiepileptic
C. Call for help and administer a
prescribed benzodiazepine
D. Call for help and monitor the
course of the seizure
A 46-year-old patient presents with B. Acute Respiratory Distress Syndrome
pneumonia and sepsis.
He was treated with 4 days of
antibiotics and IV fluids. He is
increasingly short of breath and is
now on 100% FiO, via non-re-
breather mask. You obtain an ABG
with the following results: pH 7.20 /
PaCO, 68/ PaO, 102/ HCO, 28. A
chest x-ray reveals bilateral
pulmonary infiltrates. The patient is
likely developing:
A. Worsening pneumonia
B. Acute Respiratory Distress
Syndrome
C. Pulmonary embolus
D. Atelectasis
,A 56-year-old male is admitted to C. Rapidly lower the diastolic pressure to 100 mm
the PCU with a hypertensive crisis. Hg with IV antihypertensive medications, then
His blood pressure is now 205/125 continue to gradually reduce the diastolic pressure
mm Hg and he is complaining of a to 85 mm Hg with oral antihypertensive medication
headache with nausea. He reports
he ran out of blood pressure
medication three days ago, but also
appears to be confused to the date
and situation. What is the most
appropriate treatment approach?
A. Rapidly lower the systolic
pressure to 100 mm Hg with IV
antihypertensive medication, then
gradually reduce the diastolic
pressure to 85 mm Hg with oral
antihypertensive medications
B. Slowly lower the systolic pressure
to 120 mm Hg with IV
antihypertensive medications, then
switch to oral antihypertensive
medications for maintenance
C. Rapidly lower the diastolic
pressure to 100 mm Hg with IV
antihypertensive medications, then
continue to gradually reduce the
diastolic pressure to 85 mm Hg with
oral antihypertensive medications
D. Slowly lower the diastolic pressure
to 85 mm
, 5. Which of the following labs must D. Potassium
be closely monitored when Patients taking angiotensin converting enzyme
administering Lisinopril to a patient inhibitors may experience hyperkalemia. ACE
with systolic heart failure? inhibitors block angiotensin II, which may lead to
A. Sodium decreased aldosterone. Aldosterone is responsible
B. Phosphate forexcreting potassium from the kidneys. Therefore,
C. Magnesium ACE inhibitors can cause potassium retension and
D Potassium potassium levels should be monitored closely. In
addition, renal labs such as BUN and creatinine
should be monitored. If the patient develops more
than a 20% increase in the creatinine, the
medication should be discontinued.
A 57-year-old man was admitted A Dobutamine. Dobutamine is a positive inotropic
with an acute myocardial infarction medication used to improve myocardial
and is rapidly deteriorating. He has a dysfunction on patients with a low cardiac index
BP of 86/42 and elevated afterload. It will improve contractility
(57), heart rate of 110, weak, thready and reduce afterload. Milrinone, which is a
pulses, and mottled skin-especially phosphodiesterase inhibitor could also be used as
at the knees. He has had minimal an alternative to dobutamine, in the setting of
urine output the past 8 hours. A decompensated heart failure. It is used cautiously
Rapid Response is activated. Which in patients experiencing cardiogiogenic shock as
of the following medications would one of the main side effects of Milrinone is
be the best option to increase the hypotension. The half life of Milrinone is about 6
patient's cardiac output? hours. Norepinephrine and Phenylephrine cause
A Dobutamine vasoconstriction, which would increase the SVR
B Norepinephrine and may compromise cardiac output.
C Amiodarone
D Phenylephrine
